产程中排尿困难70例临床分析

发布时间：2018-06-10 10:32

本文选题：产程 + 排尿困难　；参考：《中国妇产科临床杂志》2017年05期

【摘要】：目的探讨产程中排尿困难的主要原因。方法选择2015年10月1日至31日在扬州市妇幼保健院自然分娩的204例产妇,分娩过程中导尿组70例,未导尿组134例,两组年龄、孕周、产次、产程、新生儿体重,分娩镇痛、缩宫素使用进行比较,同时产后出血量、产后抗生素、产褥病率进性行比较。结果导尿与分娩镇痛、产程、孕周、产次均有高度统计学意义(P0.01),产后抗生素使用显著性增高(P0.05),由于抗生素的使用产褥病率无显著增高(P0.05);与年龄、新生儿体重、缩宫素应用无显著关系(P0.05),导尿组未增加产后出血量。结论重视产程中排尿困难,调整分娩镇痛的药物、剂量及浓度,正确处理产程适时应用缩宫素,加强护理,改善产程中排尿困难。
[Abstract]:Objective to investigate the main causes of dysuria during labor. Methods 204 cases of spontaneous delivery in Yangzhou Maternal and Child Health Hospital from October 1 to 31, 2015 were selected. During delivery, 70 cases were in urethral catheterization group, 134 cases in non-catheterization group, age, gestational week, delivery time, labor process, newborn weight, labor analgesia. Oxytocin use, postpartum bleeding, postpartum antibiotics, puerperal disease rate were compared. Results urinary catheterization and labor analgesia, labor process, gestational week, delivery were all significantly significant (P 0.01). The use of postpartum antibiotics was significantly increased (P 0.05), and the rate of puerperal disease was not significantly increased due to the use of antibiotics (P 0.05). There was no significant relationship between oxytocin use and postpartum hemorrhage in urethral catheterization group. Conclusion attention should be paid to dysuria during labor, adjusting the drug, dosage and concentration of labor analgesia, applying oxytocin properly during labor, strengthening nursing care and improving dysuria during labor.
【作者单位】：江苏省扬州市妇幼保健院;
【分类号】：R714.4

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